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Oral Surgery

Tooth Extraction with PRF and Ozone

Gentle, atraumatic tooth removal supported by ozone and your own PRF.

When a tooth genuinely can't be saved, then it must be taken out. Keeping a tooth that's harboring infection isn't good for the body. Most places will take the tooth out and send you on your way if you don't want bone grafting. A biologic extraction is different: it pays close attention to cleaning the site thoroughly and supporting the way it heals afterward.

Two things set it apart. First, ozonated water is used to disinfect the socket during the procedure. Second, we take a little of your blood to make PRF (platelet-rich fibrin). The blood draw is done right in the office, the vials are spun in a centrifuge to separate the blood into layers, and we take the platelets, white blood cells, and growth factors and place them back into the socket (along with some collagen foam) to support natural healing. The aim is a clean extraction and a comfortable recovery, with less risk of a dry socket.

Depending on the site, a bone graft is sometimes necessary. The pros and cons are always reviewed with you, so you can decide how to proceed. Right now, a bovine graft with a porcine collagen membrane is used when more significant bone augmentation is needed. We're also looking into a synthetic, osteoconductive bioceramic graft made from roughly 90% hydroxyapatite and 10% beta-tricalcium phosphate, though that one would have to be specially ordered.

Every extraction package also includes a little goodie bag to support your recovery: arnica tablets, ginger and turmeric capsules, and vitamin D3/K2 drops.

FAQ

Questions, answered plainly.

Do I get put to sleep for this?

No, most people do just fine with numbing alone. If you really need something to calm your nerves, we offer laughing gas (nitrous oxide) and oral sedation.

How much pain will I be in afterward?

It really depends on the individual. Most people take ibuprofen or Tylenol for about three to four days. Some don't take any pain medication at all, while others heal more slowly and are sore for up to seven days.

How long do I have to wait before I can get an implant?

It depends. If you'd like to see whether you're a candidate for an immediate implant (where the implant goes in at the same time the tooth comes out), we take a CBCT scan before the extraction. If there's plenty of bone around the tooth, an immediate implant is possible, which saves you roughly four months of healing time. If there isn't enough bone, or the nerve or sinus sits too close, we wait four to six months and take another CBCT to see how the bone filled in. Depending on where it is in the mouth, a site is sometimes simply not suitable for an implant. We can usually predict this to a degree, so we'll talk through the chances with you and give you a personal recommendation.

Do I have to take antibiotics after the procedure?

We always try to avoid antibiotics, especially since we value gut health. That said, there are situations where they're absolutely indicated because the benefit clearly outweighs the risk: immediate implant placement, the use of real bone-graft granules, sinus perforations, an infection that couldn't be fully cleaned out, or lymph-node swelling. We do our best to clean everything out, but we can't clean beyond the socket, and the mouth is never a sterile environment, so a secondary infection is always possible. If an extraction site isn't healing well after a few days, antibiotics are absolutely warranted.

Ready when you are

Book a visit at Swiss Biologic Dentistry.

New patients start with a brief intake call through Swiss Biologic Dentistry's inquiry form.

Book a Visit 602.956.4800